| NPI | 1912189770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60604693) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q5686) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2021-05-12 |